A 90-year-old woman in a care home has recurrent falls and proximal muscle weakness. She rarely goes outside and has poor dietary intake. Corrected

Question

A 90-year-old woman in a care home has recurrent falls and proximal muscle weakness. She rarely goes outside and has poor dietary intake. Corrected calcium is normal and 25-hydroxyvitamin D is low. Current medicines include paracetamol. What is the most appropriate management?

Accepted Answer

Vitamin D replacement with falls-prevention measures

Answer

Arrange carotid endarterectomy

Answer

High-dose loop diuretic therapy

Answer

Prescribe long-term benzodiazepine at night

Answer

Stop physiotherapy until vitamin D normalises

Vitamin D deficiency falls — DGM MCQ

A 90-year-old woman in a care home has recurrent falls and proximal muscle weakness. She rarely goes outside and has poor dietary intake. Corrected calcium is normal and 25-hydroxyvitamin D is low. Current medicines include paracetamol. What is the most appropriate management?